Oesophageal cancer complicated by oesophagopulmonary fistula and lung abscess
Presentation
New onset fever, chest pain and cough.
Patient Data
Circumferential mural thickening in the middle and distal oesophagus (known case of SCC).
Evidence of oesophageal fistula communicating with lung parenchyma in the left lower lobe resulting in abscesses formation.
Air space consolidatory changes in the left lower lobe.
Presence of oesophageal stent.
Case Discussion
Oesophageal malignancy is usually aggressive with poor prognosis. Eventually oesophageal carcinoma is complicated to esophago-respiratory fistula. Some patients present with direct tumour invasion to the neighbouring lung parenchyma and resulting in esophago-pulmonary fistula and subsequent lung abscess.